New cocktail targets Hard-to-Treat stomach cancer
NCT ID NCT05632939
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This early-stage trial is testing a new drug called ASKB589, which targets a protein (CLDN18.2) found on some stomach cancer cells. It is given together with standard chemotherapy and an immunotherapy drug. The study includes 62 people with advanced stomach or gastroesophageal junction cancer that cannot be surgically removed. The main goals are to check safety, find the best dose, and see if the combination shrinks tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ASKB589 (a monoclonal antibody targeting CLDN18.2) combined with chemotherapy (oxaliplatin and capecitabine) and an immunotherapy (sintilimab or tislelizumab)
- What this could lead to
- If it works, this combination could offer a new first-line treatment option for people with advanced gastric cancer that cannot be removed by surgery.
- What could go wrong
- This is an early-phase trial with only 62 participants, so the main goal is safety and dosing—not yet proving the treatment works. Side effects from the drug combination could be serious.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
62 people
The number who actually took part.
- Started
-
Feb 2023
- Expected to finish
-
Feb 2026
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Histopathologically confirmed unresectable locally advanced, recurrent, or metastatic adenocarcinoma of the gastric and gastroesophageal junction currently ineligible for surgery and radical radiotherapy. 2. Investigators determined that the present situation of the patient justifies chemotherapy plus immunotherapy as first-line treatment. 3. Tumor tissue samples are CLDN18.2 positive detected by central laboratory 4. ECOG performance status 0-1. 5. The results of the laboratory tests must meet all criteria 6. Life expectancy of at least 3 months. Exclusion Criteria: 1. Known active central nervous system metastasis or suspected cancerous meningitis; 2. There are moderate to large amounts of abdominal and pleural fluid. 3. The presence of clinically uncontrollable third interspace fluid; 4. Patients with any other malignant tumors within the past 5 years. 5. Applicable to anti-HER-2 drug therapy; 6. Anti-CLDN18.2 antibody, anti-PD-1 antibody, or drug therapy at any time in the past; 7. Patients have received antitumor therapy during the first 4 weeks before study drug use; 8. Pregnant or lactating women; or women of childbearing age who have a positive blood pregnancy test during screening period; or women of childbearing age and their spouses who are unwilling to take effective contraceptive measures during the period of this clinical trial and within 6 months after the end of the clinical trial;
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100089, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can PET scans reveal which stomach cancers will respond to immunotherapy?
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- Robotic surgery vs standard approaches: does the platform change cancer outcomes?
- Can a direct hit to tumors make immunotherapy work better?